Trajectories of maternal symptoms of anxiety and depression. A 13-year longitudinal study of a population-based sample

<p>Abstract</p> <p>Background</p> <p>There is a lack of population-based studies of developmental trajectories following mothers throughout the whole child-rearing phase and there are few longitudinal studies focusing on both symptoms of depression and anxiety. The aim of the current study is to identify latent trajectory groups based on counts of symptoms of anxiety and depression among mothers throughout the child-rearing phase and the relations of the latent groups to maternal socio-demographic variables.</p> <p>Methods</p> <p>Data is from a prospective, longitudinal study of nearly 1000 families in Norway followed from when the index children were 18 months until they were 14.5 years old (the TOPP study). The study used latent profile analysis (LPA) to identify latent groups of mothers with distinct trajectories across time of symptom counts. Latent group differences on socio-demographic variables were tested with one-way ANOVAs, chi-square tests and exact tests.</p> <p>Results</p> <p>Six trajectories based on maternal scores from six waves of data collection of symptoms of anxiety and depression were identified; a 'No symptoms' group with mothers without symptoms; a 'Low' group with mothers reporting low symptom levels; a 'Moderate-low' group with mothers reporting moderately low symptom levels; a 'Moderate' group with mothers with moderate symptoms; a 'High-chronic' group with mothers with overall high symptom levels; and a 'Low-rising' group with mothers starting with a low symptom level that increased over time. The mothers in the High-chronic symptom group differed from the other mothers on several socio-demographic variables. They were significantly younger than the mothers in the Low group comprising the oldest mothers. The mothers in the High-chronic group had significantly lower education, were less likely to have paid work and were less likely to be living with a partner than the mothers in the other groups.</p> <p>Conclusions</p> <p>The study shows socio-demographic differences between mothers classified into six trajectory groups based on symptoms of anxiety and depression covering 13 years of the child-rearing period. Specific socio-demographic risk factors characterised mothers in the High-chronic symptom group. Identifying subgroups with enduring problems might inform more targeted preventive efforts.</p

Long shadows: a prospective study of predictors of relationship dissolution over 17 child-rearing years

Background Parental relationship dissolutions have repeatedly been linked to negative outcomes for children, but predictors of parental dissolutions have been far less studied. Knowledge about parental dissolutions occurring after the early years of parenthood is especially sparse. The aim of the current study was to investigate whether a broad set of predictors from families of toddlers were associated with relationship dissolutions throughout the next 17 years of parenthood. We specifically investigated whether different predictors were associated with short and long term dissolutions; and whether associations with long term dissolutions were mediated by relationship dissatisfaction or child-rearing conflicts. Methods Questionnaire data from 500 married or cohabiting mothers participating in a longitudinal population based study, the Norwegian TOPP study, was used. Child related strains, positive and negative aspects of relationship quality, and other intrinsic, environmental, and socio-demographic factors were assessed when children were 18 months old. Associations between early predictors and early dissolution (before children were 8 years old) and late dissolutions (when children were between 8 and 19 years) were compared using multinomial logistic regression analyses. Indirect paths from early predictors through relationship satisfaction and child-rearing conflicts to late dissolutions were investigated among couples that were still intact when children were 8 years old. Results Expression of criticism and most socio-demographic variables were associated with early dissolutions only, while temperamental sociability and child related strains were associated with long term dissolutions only in the adjusted regression models. Low levels of emotional support predicted both early and late dissolutions. Associations from low emotional support and child related strains to long term dissolutions were mediated by relationship dissatisfaction, indicating that cascades towards dissolutions may originate in these early predictors. No indirect paths were identified from early predictors through child-rearing conflicts, indicating that low levels of positivity, rather than high conflict levels, are associated with dissolutions in long-term relationships. Conclusions Predictors of dissolutions over the next 17 years could be identified among mothers of toddlers. Different predictors were associated with early and late dissolutions, indicating different cascades

Trajectories of maternal symptoms of depression and anxiety over 13 years: the influence of stress, social support, and maternal temperament

<p>Abstract</p> <p>Background</p> <p>Depression and anxiety are the most common mental health problems among women, with various negative impacts both for the women concerned and their families. Greater understanding of developmental trajectories of maternal symptoms of depression and anxiety over the child rearing period would have significant benefits for public health, informing prevention and treatment approaches. The aim of the current study was to examine whether stressors related to child rearing and living conditions, social support, and maternal temperament, predicted mothers’ membership in groups with different trajectories of symptoms of depression and anxiety during 13 years of the child rearing phase.</p> <p>Methods</p> <p>The data were from a prospective, longitudinal study of 913 mothers in Norway followed from when their children were 18 months old (time 1) until they were 14.5 years (time 6) (the TOPP study). Multinomial logistic regression analyses were used to test whether child related stressors, stressors related to the living conditions, social support and maternal temperament at time 1 predicted membership in groups based on maternal symptoms of depression and anxiety over the subsequent 13 years.</p> <p>Results</p> <p>Temperamental distress, followed by child related stressors, were the strongest predictors of membership in a group with high symptoms of depression and anxiety over time. Stressors related to living conditions, and social support from partner and friends/family were also significant predictors. No interaction effects among predictors were found.</p> <p>Conclusions</p> <p>This study indicates that factors present early in the child rearing phase may provide substantial prediction of the variance in maternal symptoms of depression and anxiety over the following 13 years. Temperamental distress and child related stressors were the strongest predictors of membership in different depression and anxiety symptom trajectory groups.</p

Atrial fibrillation and future risk of venous thromboembolism: The Tromsø study

Aims: Whether atrial fibrillation is related to risk of venous thromboembolism (VTE) has not been extensively studied. Therefore, we investigated the association between atrial fibrillation and future risk of VTE in a population-based cohort. Methods: In total, 29 975 subjects were recruited from three surveys of the Tromsø study and followed from enrollment (1994–1995, 2001–2002 and 2007–2008) up to 2010. Incident events of atrial fibrillation and VTE during follow-up were recorded. Information on potential confounders was obtained at baseline. Cox-regression models with atrial fibrillation as time-dependent variable were used to calculate hazard ratios (HRs) for VTE with 95% confidence intervals (CIs). Results: During 16 years of median follow-up, 1604 subjects were diagnosed with atrial fibrillation and 614 with incident VTE. The risk of VTE was substantially increased during the first 6 months after diagnosis of atrial fibrillation (HR, 8.44; 95% CI, 5.61–12.69), and remained increased throughout the study period (HR, 1.43; 95% CI, 1.43–1.99) compared with those without atrial fibrillation. Atrial fibrillation displayed higher risk estimates for pulmonary embolism (HR, 11.84; 95% CI, 6.80–20.63) than for deep vein thrombosis (HR, 6.20; 95% CI, 3.37–11.39) during the first 6 months, and was still associated with pulmonary embolism (HR, 1.96; 95% CI, 1.24–3.10) but not with deep vein thrombosis (HR, 1.08; 95% CI, 0.66–1.75) more than 6 months after diagnosis. Conclusion: Atrial fibrillation was associated with increased risk of VTE, and pulmonary embolism in particular. Our findings support the concept that isolated pulmonary embolism may originate from right atrial thrombi due to atrial fibrillation

The Strengths and Difficulties Questionnaire in the Nordic countries

Background: The Strengths and Difficulties Questionnaire (SDQ) has been translated into the different Nordic languages between 1996 and 2003. During the past few years, SDQs have been completed for nearly 100,000 children and adolescents in population-based studies as well as in clinical samples. The largest studies have been performed in Norway and Denmark, and in these countries the diagnostic interview DAWBA has also been used in conjunction with the SDQ. Aims: In addition to a brief overview of past and ongoing SDQ work in Sweden, Finland, Norway, Denmark, and Iceland, we present scale means and standard deviations from selected community studies with comparable age groups, including parental reports for 7, 9 and 11 year-old children and self-reports of 13 and 15 year-olds. Conclusions: The descriptive statistics suggest that the distributions of SDQ scores are very similar across the Nordic countries. Further collaborative efforts in establishing norms and evaluating the validity of the SDQ as a screening instrument are encouraged

The strengths and difficulties questionnaire in the Nordic countries

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldBACKGROUND: The Strengths and Difficulties Questionnaire (SDQ) has been translated into the different Nordic languages between 1996 and 2003. During the past few years, SDQs have been completed for nearly 100,000 children and adolescents in population-based studies as well as in clinical samples. The largest studies have been performed in Norway and Denmark, and in these countries the diagnostic interview DAWBA has also been used in conjunction with the SDQ. AIMS: In addition to a brief overview of past and ongoing SDQ work in Sweden, Finland, Norway, Denmark, and Iceland, we present scale means and standard deviations from selected community studies with comparable age groups, including parental reports for 7, 9 and 11 year-old children and self-reports of 13 and 15 year-olds. CONCLUSIONS: The descriptive statistics suggest that the distributions of SDQ scores are very similar across the Nordic countries. Further collaborative efforts in establishing norms and evaluating the validity of the SDQ as a screening instrument are encouraged

Impact of Global Warming on Rural-Urban Migration and Net Emigration in Forefront Sub-Saharan Countries

Global warming has recently raised a lot of concerns about the future of our planet in terms of inhabitability. These concerns focus particularly on the possible increase in the migration toward more hospitable urban areas within a country or toward more hospitable countries. However, to our knowledge, there is no quantitative study to assess the impact of global warming on migration in Sub-Saharan Africa. Therefore, this paper attempts to determine whether global warming increases rural-urban migration and net emigration (i.e. emigration of nationals out of a country minus immigration of foreigners into the country) over the period 2000-2005 in six forefront Sub-Saharan countries, namely Burkina Faso, Chad, Mali, Mauritania, Niger and Senegal. We found that global warming alone is insignificantly related to rural-urban migration and net emigration. However, when associated with other independent variables or cofactors such as population growth rate and gross domestic product growth rate, global warming increases both rural-urban migration and net emigration